Burlington County Foot & Ankle Assoc, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BURLINGTON COUNTY FOOT & ANKLE ASSOC, INC

Practice address

520 Stokes Road
Suite C-5
Medford, NJ 08055

Phone

(609) 714-0052

Fax

(609) 714-3087

NPI assigned

Aug 9, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John M Depalma, DPMNPI 1205828787

Title

President

Phone

(609) 714-0052

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John M. Depalma, D.P.M.

  • Podiatrist
  • Medford, NJ
  • NPI 1205828787

  NJ, Podiatrist

  Medicare reassignment NPD Authorized official
• Donna M McAnespey, DPM

  • Podiatrist
  • Marlton, NJ
  • NPI 1437150646
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1922009356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 STOKES ROAD",
            "address_2": "SUITE C-5",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "08055",
            "telephone_number": "609-714-0052",
            "fax_number": "609-714-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STOKES ROAD",
            "address_2": "SUITE C-5",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "08055",
            "telephone_number": "609-714-0052",
            "fax_number": "609-714-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON COUNTY FOOT & ANKLE ASSOC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "DEPALMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-714-0052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "0000059327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0022161000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0022161000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PERSONAL CHOICE",
            "identifier": "0000059327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA3758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Sue Buck, DO
• Johanna Marie Buckingham, PT
• Jaclyn Buckley, PT, DPT
• Budd Optical
• Wendy Bulman, RPH
• Mark William Butler, MPT
• Kristen Helen Byars, PT, DPT
• Cory Jason Bycer, PHARM D
• Debra Vincenza Canale, MSN RN FNP-BC
• Dawn P Cappello, LAC

• All providers in Medford, NJ
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.